Compensation Reports

[bimmer79]

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Hey guys, I’m Althea sole pain doctor in an ortho group and currently in the process of negotiations and have presented the AAPMR 2017 Clinical Compensation benchmark Data to my group as a way to gauge my value. Apparently, my yearly personal wRVUs amount to 7200 and my midlevels working directly with me add another 5000 totaling over 12000 wrvus annually. The administrator believes that the data represents work from the provider only, but doesn’t the work of my midlevels count towards my productivity since they are a direct expense from me? She’s arguing that I’m paid appropriately for generating 7200 wrvus, but I believe that everything generated from my practice should be incorporated, including my midlevels work. Therefore I should be paid for generating over 12000 wrvus. Does the compensation data take into consideration my entire teams work or just my personal work? Thanks for your insight and help!!

 

[drusso]

Hey guys, I’m Althea sole pain doctor in an ortho group and currently in the process of negotiations and have presented the AAPMR 2017 Clinical Compensation benchmark Data to my group as a way to gauge my value. Apparently, my yearly personal wRVUs amount to 7200 and my midlevels working directly with me add another 5000 totaling over 12000 wrvus annually. The administrator believes that the data represents work from the provider only, but doesn’t the work of my midlevels count towards my productivity since they are a direct expense from me? She’s arguing that I’m paid appropriately for generating 7200 wrvus, but I believe that everything generated from my practice should be incorporated, including my midlevels work. Therefore I should be paid for generating over 12000 wrvus. Does the compensation data take into consideration my entire teams work or just my personal work? Thanks for your insight and help!!

Yes, supervising mid-levels counts. Tell her that if she doesn't believe its work, then she can do it herself.

 

[ziggyziggy]

This has been a contentious issue for many. I am assuming your midlevel is salaried with no bonus structure. You can combine total compensation for you and PA/NP and if its worth 12000 wRVU. I will ask for the gap, if not then you don't need the midlevel because its eating into your productivity.

 

[SSdoc33]

no, you dont "get" their RVUs. they dont work for free. you say you have multiple mid-levels, which add 5000 RVUs. that means each one only is producing 2500/year? or 1700/year if there are 3? their salary has to be covered by what they bring in, and in my experience, it is usually a wash. if anything, it sounds like they may be costing your group money, so im not sure why you think you should be entitled to their "share"

you theoretically could get a stipend for "supervising" the midlevels.

basically, they will see the crappy patietns and free up your time, but arent a great revenue generator and usually arent great clinically. they are great for post op checks wound checks and taking out sutures. for us. by and large, not that great.

 

[Ducttape]

You should get a stipend for being their collaborating physician but they are probably billing under their own license.

The supervisory stipend is usually about 5% of their total wRVU, so roughly 250 wRVU per year...